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Crit-Cases

You are called to see a 34 year old on the ward with difficulty breathing. He had been admitted yesterday complaining of difficulty walking.

Answer the following questions


  • Question 1
  • Question 2
  • Question 3
  • Question 4
  • Question 5

The following blood gases are taken with FiO2 0.3

 

pH  PaCO2  PaO2  HCO3  BE  SpO2
7.23  62  62  25  -2.1  92%

Describe the acid-base abnormality

Comment on the PaO2?

On examination he is distressed, but there is poor accessory muscle use.  You notice he has no reflexes and has markedly reduced tone and power peripherally.  What are the possible causes?

What investigation features would you expect to see in GBS?

The patient is treated with immunoglobulin.  List 5 complications of Pooled Intravenous IgG.

List 5 prognostic features that suggest a prolonged disease course?